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HypercholesterolemiaPhase 2NCT02178098

Evaluation of ETC-1002 in Participants With Hypercholesterolemia and Hypertension

A Phase 2 study testing ETC-1002 in people with Hypercholesterolemia and Hypertension, run by Esperion Therapeutics, Inc. at 43 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This Phase 2 study will assess the efficacy and safety of ETC-1002 monotherapy versus placebo in participants with hypercholesterolemia and hypertension. Read more about this study

Who is it for?
Ages 18 to 80 years
Conditions the study is for
Hypercholesterolemia, Hypertension
What is being tested?
ETC-1002
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
143 participants
Where
43 sitesUnited States
Study dates
16 Jun 2014to 22 May 2015
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Mean 24-hour ambulatory SBP greater than or equal to 130 mmHg
  • or- Mean 24-hour ambulatory DBP greater than or equal to 80 mmHg
  • Fasting LDL-C between 100 and 220 mg/dL
  • Fasting triglycerides less than 400 mg/dL
  • Body mass index (BMI) between 18 and 45 kg/m2

Who cannot join

  • Known or suspected secondary hypertension or history of malignant hypertension
  • Taking more than two anti-hypertension medications at the first visit
  • History or current clinically significant cardiovascular disease
  • History or current type 1 diabetes or type 2 diabetes

Trial locations and contacts

43 sites in 1 country.

43 sites in 1 country

United States43 sites
  • Study site

    Auburn, Maine, 04210

  • Study site

    Berlin, New Jersey, 08009

  • Study site

    Birmingham, Alabama, 35209

  • Study site

    Butte, Montana, 59701

  • Study site

    Chandler, Arizona, 85224

  • Study site

    Chicago, Illinois, 60607

  • Study site

    Cincinnati, Ohio, 45219

  • Study site

    Cincinnati, Ohio, 45245

  • Study site

    Cincinnati, Ohio, 45246

  • Study site

    Corpus Christi, Texas, 78404

  • Study site

    Dallas, Texas, 75230

  • Study site

    Dallas, Texas, 75234

  • Study site

    DeLand, Florida, 32720

  • Study site

    Downingtown, Pennsylvania, 19335

  • Study site

    Endwell, New York, 13760

  • Study site

    Eugene, Oregon, 97404

  • Study site

    Fort Lauderdale, Florida, 33306

  • Study site

    Glendale, Arizona, 85306

  • Study site

    Gurnee, Illinois, 60031

  • Study site

    Hialeah, Florida, 33012

  • Study site

    Houston, Texas, 77036

  • Study site

    Indianapolis, Indiana, 46260

  • Study site

    Kenosha, Wisconsin, 53142

  • Study site

    Las Vegas, Nevada, 89123

  • Study site

    Los Angeles, California, 90057

  • Study site

    Lyndhurst, Ohio, 44124

  • Study site

    Madison, Wisconsin, 53719

  • Study site

    Meridian, Idaho, 83646

  • Site 1

    Mt. Pleasant, South Carolina, 29464

  • Site 2

    Mt. Pleasant, South Carolina, 29464

  • Study site

    Muscle Shoals, Alabama, 35662

  • Study site

    Olive Branch, Mississippi, 38654

  • Study site

    Oviedo, Florida, 32765

  • Study site

    Paducah, Kentucky, 42003

  • Study site

    Pembroke Pines, Florida, 33026

  • Study site

    Pembroke Pines, Florida, 33029

  • Study site

    Port Orange, Florida, 32127

  • Study site

    Salt Lake City, Utah, 84107

  • Study site

    Salt Lake City, Utah, 84124

  • Study site

    Simpsonville, South Carolina, 29681

  • Study site

    Tulsa, Oklahoma, 74136

  • Study site

    Willoughby Hills, Ohio, 44094

  • Study site

    Wilmington, North Carolina, 28401

Other trials in United States

About this study

Official title: A Placebo-Controlled, Randomized, Double-Blind, Parallel Group Study to Evaluate the Efficacy and Safety of ETC-1002 in Patients With Hypercholesterolemia and Hypertension

This Phase 2 study will assess the efficacy and safety of ETC-1002 monotherapy versus placebo in participants with hypercholesterolemia and hypertension.

Being tested
ETC-1002, Placebo
Keywords
LDL, Cholesterol
Medical subject headings
Hypercholesterolemia, Hypertension

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • ETC-1002Drug

    ETC-1002 capsules taken once daily

  • PlaceboDrug

    Placebo capsules taken once daily

Study groups in NCT02178098
Study groupRoleWhat they receive
ETC-1002ExperimentalETC-1002 180 mg/day
Receives: Drug: ETC-1002
PlaceboPlacebo comparatorPlacebo control
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percent Change From Baseline in Calculated Low-density Lipoprotein Cholesterol (LDL-C) to Week 6

    Percent change from Baseline was calculated as the ([post-Baseline value minus the Baseline value] divided by the Baseline value) x 100. Baseline was defined as the mean of the values from Week -1 and Week 0. Percent change from Baseline in LDL-C was analyzed using an analysis of covariance (ANCOVA) model with a term for treatment and Baseline value as a covariate. The Week 6 endpoint was the last available post-Baseline value. For the Week 6 endpoint, missing values at Week 6 were imputed using the last observation carried forward (LOCF) procedure, with only post-Baseline values carried forward. Modified Intent-to-Treat (mITT) Population is defined as all randomized participants who received at least 1 dose of study drug, had a Baseline assessment, and had at least 1 post-Baseline assessment, excluding any assessment taken more than 2 days after a dose of study drug

    Measured: Baseline; 6 weeks

Secondary outcomes (17)
  1. Change From Baseline in Mean 24-hour Systolic Blood Pressure (SBP) to Week 6

    Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Baseline was defined as the last value prior to the first dose of study medication. Change from Baseline was calculated using an ANCOVA model with a term for treatment and Baseline value as a covariate. The Week 6 endpoint was the last available post-Baseline value.

    Measured: Baseline; 6 weeks

  2. Change From Baseline in 24-hour Mean Diastolic Blood Pressure (DBP) to Week 6

    Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Baseline was defined as the last value prior to the first dose of study medication. Change from Baseline was calculated using an ANCOVA model with a term for treatment and Baseline value as a covariate. The Week 6 endpoint was the last available post-Baseline value.

    Measured: Baseline; 6 weeks

  3. Change From Baseline in Mean Daytime SBP to Week 6

    Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Baseline was defined as the last value prior to the first dose of study medication. Change from Baseline was calculated using an ANCOVA model with a term for treatment and Baseline value as a covariate. Daytime measurements were defined as those taken from 7 AM to 10 PM (>7 AM and ≤10 PM). The Week 6 endpoint was the last available post-Baseline value.

    Measured: Baseline; 6 weeks

  4. Change From Baseline in Mean Daytime DBP to Week 6

    Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Baseline was defined as the last value prior to the first dose of study medication. Change from Baseline was calculated using an ANCOVA model with a term for treatment and Baseline value as a covariate. Daytime measurements were defined as those taken from 7 AM to 10 PM (>7 AM and ≤10 PM). The Week 6 endpoint was the last available post-Baseline value.

    Measured: Baseline; 6 weeks

  5. Change From Baseline in Mean Nighttime SBP to Week 6

    Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Baseline was defined as the last value prior to the first dose of study medication. Change from Baseline was calculated using an ANCOVA model with a term for treatment and Baseline value as a covariate. Nighttime measurements were defined as those taken from 10 PM to 7 AM (>10 PM and ≤7 AM). The Week 6 endpoint was the last available post-Baseline value.

    Measured: Baseline; 6 weeks

  6. Change From Baseline in Mean Nighttime DBP to Week 6

    Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Baseline was defined as the last value prior to the first dose of study medication. Change from Baseline was calculated using an ANCOVA model with a term for treatment and Baseline value as a covariate. Nighttime measurements were defined as those taken from 10 PM to 7 AM (>10 PM and ≤7 AM). The Week 6 endpoint was the last available post-Baseline value.

    Measured: Baseline; 6 weeks

  7. Change From Baseline in Sitting Cuff SBP to Week 6

    Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Baseline was defined as the mean of the values from Weeks -1 and 0. Change from Baseline was calculated using an ANCOVA model with a term for treatment and Baseline value as a covariate. Three BP measurements were collected at least 3 minutes apart, and the mean of the second and third measurements was calculated and used for summary and analysis. The Week 6 endpoint was the last available post-Baseline value.

    Measured: Baseline: 6 weeks

  8. Change From Baseline in Sitting Cuff DBP to Week 6

    Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Baseline was defined as the mean of the values from Weeks -1 and 0. Change from Baseline was calculated using an ANCOVA model with a term for treatment and Baseline value as a covariate. Three BP measurements were collected at least 3 minutes apart, and the mean of the second and third measurements was calculated and used for summary and analysis. The Week 6 endpoint was the last available post-Baseline value.

    Measured: Baseline; 6 weeks

  9. Percent Change From Baseline in High-sensitivity C-reactive Protein (hsCRP) to Week 6

    A non-parametric analysis was performed for hsCRP parameters. Percent change from Baseline was calculated as the ([post-Baseline value minus the Baseline value] divided by the Baseline value) x 100. Baseline was defined as the last value prior to the first dose of study medication. If hsCRP was <0.2, 0.1 was imputed for analysis. The Week 6 endpoint was the last available post-Baseline value.

    Measured: Baseline; 6 weeks

  10. Percent Change From Baseline in Total Cholesterol to Week 6

    Percent change from Baseline was calculated as the ([post-Baseline value minus the Baseline value] divided by the Baseline value) x 100. Baseline was defined as the mean of the values from Week -1 and Week 0. Change from Baseline was calculated using an ANCOVA model with terms for treatment and statin intolerance, and value as a covariate. The Week 6 endpoint was the last available post-Baseline value.

    Measured: Baseline; 6 weeks

  11. Percent Change From Baseline in Apolipoprotein B (ApoB) to Week 6

    Percent change from Baseline was calculated as the ([post-Baseline value minus the Baseline value] divided by the Baseline value) x 100. Baseline was defined as the mean of the values from Week -1 and Week 0. Change from Baseline was calculated using an ANCOVA model with terms for treatment and statin intolerance, and Baseline value as a covariate. The Week 6 endpoint was the last available post-Baseline value.

    Measured: Baseline; 6 weeks

  12. Percent Change From Baseline in Non-high-density Lipoprotein Cholesterol (Non-HDL-C) to Week 6

    Percent change from Baseline was calculated as the ([post-Baseline value minus the Baseline value] divided by the Baseline value) x 100. Baseline was defined as the last value prior to the first dose of study medication. Change from Baseline was calculated using an ANCOVA model with a term for treatment and Baseline value as a covariate. The Week 6 endpoint was the last available post-Baseline value.

    Measured: Baseline; 6 weeks

  13. Percent Change From Baseline in Triglycerides (TG) to Week 6

    Percent change from Baseline was calculated as the ([post-Baseline value minus the Baseline value] divided by the Baseline value) x 100. Baseline was defined as the mean of the values from Week -1 and Week 0. The Week 6 endpoint was the last available post-Baseline value. Data was analyzed using non-parametric analysis.

    Measured: Baseline; 6 weeks

  14. Percent Change From Baseline in HDL-C to Week 6

    Percent change from Baseline was calculated as the ([post-Baseline value minus the Baseline value] divided by the Baseline value) x 100. Baseline was defined as the mean of the values from Week -1 and Week 0. Change from Baseline was calculated using an ANCOVA model with terms for treatment and statin intolerance, and Baseline value as a covariate. The Week 6 endpoint was the last available post-Baseline value.

    Measured: Baseline; 6 weeks

  15. Percent Change From Baseline in Free Fatty Acids (FFA) to Week 6

    Percent change from Baseline was calculated as the ([post-Baseline value minus the Baseline value] divided by the Baseline value) x 100. Baseline was defined as the mean of the values from Week -1 and Week 0. The Week 6 endpoint was the last available post-Baseline value.

    Measured: Baseline; 6 weeks

  16. Change From Baseline in Body Weight to Week 6

    Baseline was defined as the mean of the values from Week -1 and Week 0. Change from Baseline was calculated as the post-Baseline value minus the Baseline value.

    Measured: Baseline; 6 weeks

  17. Plasma Trough Concentrations of ETC-1002 and Metabolite ESP15228

    Plasma trough concentration is defined as the lowest concentration reached before the next dose is administered.

    Measured: Week 2, Week 4 and Week 6

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted30 Jun 2014 (estimated)
  2. Study start16 Jun 2014
  3. Primary completion22 May 2015
  4. Study completion22 May 2015

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
143 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02178098
Sponsor's protocol ID
1002-014
Status last verified
Mar 2023
First submitted
16 Jun 2014
Last updated
4 Apr 2023
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Ballantyne CM, Davidson MH, Macdougall DE, Bays HE, Dicarlo LA, Rosenberg NL, Margulies J, Newton RS. Efficacy and safety of a novel dual modulator of adenosine triphosphate-citrate lyase and adenosine monophosphate-activated protein kinase in patients with hypercholesterolemia: results of a multicenter, randomized, double-blind, placebo-controlled, parallel-group trial. J Am Coll Cardiol. 2013 Sep 24;62(13):1154-62. doi: 10.1016/j.jacc.2013.05.050. Epub 2013 Jun 13.

    PubMed 23770179
  • Gutierrez MJ, Rosenberg NL, Macdougall DE, Hanselman JC, Margulies JR, Strange P, Milad MA, McBride SJ, Newton RS. Efficacy and safety of ETC-1002, a novel investigational low-density lipoprotein-cholesterol-lowering therapy for the treatment of patients with hypercholesterolemia and type 2 diabetes mellitus. Arterioscler Thromb Vasc Biol. 2014 Mar;34(3):676-83. doi: 10.1161/ATVBAHA.113.302677. Epub 2014 Jan 2.

    PubMed 24385236
  • Pinkosky SL, Filippov S, Srivastava RA, Hanselman JC, Bradshaw CD, Hurley TR, Cramer CT, Spahr MA, Brant AF, Houghton JL, Baker C, Naples M, Adeli K, Newton RS. AMP-activated protein kinase and ATP-citrate lyase are two distinct molecular targets for ETC-1002, a novel small molecule regulator of lipid and carbohydrate metabolism. J Lipid Res. 2013 Jan;54(1):134-51. doi: 10.1194/jlr.M030528. Epub 2012 Nov 1.

    PubMed 23118444
  • Filippov S, Pinkosky SL, Lister RJ, Pawloski C, Hanselman JC, Cramer CT, Srivastava RAK, Hurley TR, Bradshaw CD, Spahr MA, Newton RS. ETC-1002 regulates immune response, leukocyte homing, and adipose tissue inflammation via LKB1-dependent activation of macrophage AMPK. J Lipid Res. 2013 Aug;54(8):2095-2108. doi: 10.1194/jlr.M035212. Epub 2013 May 24.

    PubMed 23709692

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing ETC-1002 in people with Hypercholesterolemia and Hypertension, run by Esperion Therapeutics, Inc. at 43 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 4 Apr 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 43 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 4 Apr 2023). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percent Change From Baseline in Calculated Low-density Lipoprotein Cholesterol (LDL-C) to Week 6 (time frame: Baseline; 6 weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02178098, which also lists 4 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 4 Apr 2023; AzTrials last refreshed its copy on 8 Nov 2026.

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